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Skin substitute graft for treatment of DFU and VLU lower extremities (15271-15278)

March 25, 2026
View targeted probe and educate (TPE) round results for 15271-15278.

Prior authorization (PA) demonstration for certain ambulatory surgical center (ASC) services

March 26, 2026
CMS is implementing a five-year demonstration project for the prior authorization of certain services provided in Ambulatory Surgical Centers (ASCs) and will be implementing the demonstration in two phases.

Fast facts: CERT administrative relief during a disaster

March 18, 2026
Read this article for information about how CERT may grant temporary administrative relief to certain affected providers and suppliers during a disaster.

Rhinoplasty and related services

March 16, 2026
Nasal surgery is any procedure performed on the external or internal structures of the nose, septum or turbinate.

Targeted probe and educate (TPE) round results: Rehabilitation services outpatient

May 18, 2026
View these round results for rehabilitation services outpatient.

Targeted probe and educate (TPE) round results: Clinical laboratory services

May 18, 2026
View targeted probe and educate (TPE) round results for clinical laboratory services.

Targeted probe and educate (TPE) round results: Diagnostic-related group (DRG) 885 - psychosis

May 18, 2026
Review the top denial / partial denial reasons and high-level results listed for DRG 885.

Understanding repetitive scheduled non-emergent ambulance transports

May 18, 2026
Review these FAQs to learn more about the prior authorization for repetitive scheduled non-emergency ambulance transport.

Targeted probe and educate (TPE) round results: Inpatient rehabilitation facilities (IRF)

May 18, 2026
Review the targeted probe and educate (TPE) round results for inpatient rehabilitation facility (IRF).

Tools & forms: Compliance / Review

April 17, 2026
Access tools and forms related to the prior authorization program, CERT, and provider audit.
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